Katy J. Vanderwal
NPI 1376614958ActiveIndividual· Dietitian, Registered· Brookings, SD
Dietitian, Registered in Brookings, South Dakota, licensed in SD, with an NPI issued in November 2006. Enrolled in Medicare as practitioner - registered dietitian or nutrition professional.
Overview
| NPI | 1376614958 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Nov 13, 2006 |
| Last updated in NPPES | Aug 11, 2009 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dietitian, Registered Primary | 133V00000X | 0313 | SD |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Registered Dietitian Or Nutrition Professional (SD) |
|---|
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